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NPI Code Detail

MEDICARE: NANCY LEE LAWRENCE LPN

MEDICARE: NANCY LEE LAWRENCE LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse228652NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1228652OTHERNYLICENSE

General Provider Information

NPI Number : 1831113539
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY LEE LAWRENCE LPN
Provider Business Mailing Address
First Line : 75 STATE RT 32A
Second Line :
City : SAUGERTIES
State : NY
Zip : 12477
Country : US
Telephone Number : 518-678-2331
Fax Number :
Provider Business Practice Location Address
First Line : 139 CORNELL ST
Second Line :
City : KINGSTON
State : NY
Zip : 12401-3633
Country : US
Telephone Number : 845-338-1234
Fax Number : 845-338-1234
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 07/08/2007

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1841213634 — MS. SHERRIE M WILLIAMS LMSW
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1134142888 — MR. MICHAEL GERARD DEVINE LMSW
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Directions to “ NANCY LEE LAWRENCE LPN” Practice Location

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